| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4526 |
Adult size pull-on med |
2,673 |
2,482 |
$272K |
| T4527 |
Adult size pull-on lg |
2,613 |
2,409 |
$251K |
| T4528 |
Adult size pull-on xl |
2,013 |
1,898 |
$222K |
| T4535 |
Disposable liner/shield/pad |
4,872 |
4,461 |
$160K |
| A4927 |
Non-sterile gloves |
6,082 |
5,663 |
$143K |
| T4541 |
Large disposable underpad |
5,958 |
5,515 |
$142K |
| A4351 |
Straight tip urine catheter |
240 |
135 |
$98K |
| T4523 |
Adult size brief/diaper lg |
791 |
742 |
$73K |
| B4100 |
Food thickener oral |
467 |
341 |
$36K |
| T4543 |
Adult disp brief/diap abv xl |
319 |
294 |
$26K |
| K0001 |
Standard wheelchair |
1,699 |
1,037 |
$25K |
| E0570 |
Nebulizer with compression |
1,747 |
1,149 |
$25K |
| A4349 |
Disposable male external cat |
1,135 |
556 |
$15K |
| A4357 |
Bedside drainage bag |
2,350 |
1,144 |
$15K |
| T4522 |
Adult size brief/diaper med |
29 |
27 |
$2K |
| E0260 |
Hosp bed semi-electr w/ matt |
27 |
12 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
14 |
12 |
$565.77 |
| A5120 |
Skin barrier, wipe or swab |
180 |
109 |
$428.05 |
| A4358 |
Urinary leg or abdomen bag |
93 |
51 |
$426.83 |